Topic Explanation
The forum discussion is about seeking advice for chronic irritation and redness around an ostomy site, specifically after ileostomy surgery. The original poster (OP) is experiencing significant discomfort and is looking for effective solutions to alleviate the irritation, which has not been resolved by using powder, barrier spray, changing the appliance more often, or adjusting the size of the appliance hole.

Advice and Insights

1. Leak Prevention and Appliance Fit:
- Ensure the wafer is cut to fit snugly around the stoma without gaps to prevent leaks and skin irritation.
- Use a seal washer or barrier ring to close any gaps between the wafer and the stoma.
- Consider using a convex appliance if the stoma is retracted or does not protrude far.

2. Application Techniques:
- Avoid changing the appliance too frequently to reduce skin trauma.
- Use a hairdryer to ensure the area is completely dry before applying any products.
- Layering technique: dry the area, apply stoma powder, spray with barrier spray, dry again, and repeat as needed before applying the ring and bag.
- Some users found success by applying the barrier ring directly to the skin first, then spraying with barrier spray, drying, and finally attaching the bag.

3. Product Recommendations:
- Use a barrier ring (Convatec, Coloplast, or Perfect Choice) to help with leaks and irritation.
- Consider using a convex bag and barrier ring for better fit and protection.
- Some users found relief using Vicks VapoRub on irritated skin before applying stoma powder and barrier wipe.
- Egg white applied after showering can help regenerate skin and reduce stinging.

4. Consulting Professionals:
- Consult a stoma nurse for personalized advice and to explore different products and techniques.
- If experiencing severe irritation or leaks, consider seeing a surgeon or stoma nurse for alternative supplies and methods.

5. Additional Tips:
- Ensure the hole in the bag is snug against the stoma to prevent leaks.
- Avoid using powder if it causes the bag not to stick; instead, use barrier spray and ring.
- For those with sensitive skin, consider using silver gel and hydrocolloidal dressing.
- Sleeping on the side rather than the back can help prevent leaks.
- If experiencing persistent issues, check for possible infections and consult a healthcare provider for appropriate treatment.